A new Results Report takes stock of how a US$439 million humanitarian investment from more than 50 donors delivered life-saving assistance to over 22 million people facing the consequences of natural disasters and conflict around the world.

Yemen: The health system in Taizz governorate is close to collapse. All public hospitals have closed, and the remaining health facilities are overwhelmed by severely injured people as well as a dengue outbreak. Access remains severely restricted across the country. Hudaydah port, the main entry point for humanitarian supplies in north and central Yemen, remains closed, and road transport from Aden port to northern governorates remains limited.

Papua New Guinea: 1.8 million people have been affected by prolonged dry spell and frost in the Highlands region; 1.3 million are reported to be most at risk. Crops have been destroyed, and several chools and health facilities have been closed due to water shortages. The affected population is reported to be resorting to less reliable sources of drinking water.

Haiti: Insecurity has increased since legislative elections. Violence and intimidation were reported at many polling stations and a second round of voting is planned, following low voter turnout. Food security has deteriorated as a result of prolonged drought conditions since the beginning of 2015: poor households in Sud, Sud-Est, Nord-Est and Artibonite will remain in Crisis (IPC Phase 3) food security outcomes through December. Recent cholera rates are triple those of the comparable time period in 2014.

Yemen: The humanitarian situation in Yemen continues to deteriorate. 1.4 million people have become displaced since conflict escalated in March – a 12% increase since early July. Fuel shortages and access issues continue to affect provision of health services. 23% of Yemen’s health facilities are either partially funtional or non-functional.

Burkina Faso: Heavy floods in Ouagadougou, Kadiogo province, and Bobo-Dioulasso, Houet province, in early August affected around 19,780 people. Significant damage to houses and food stocks were reported. Additional flooding in the north could bring the total number of affected to 122,000. More than 1.5 million people are facing Stressed or Crisis food security outcomes in Burkina Faso, especially in the Sahel region in the north.

Somalia: More than 10,000 people have been displaced in Lower Shabelle and Bay regions since AMISOM and Somali armed forces began their offensive. Al Shabaab has lost control of Bardhere in Gedo and Dinsoor in Bay. In accessible areas of Hudur town, Bakool, 33% GAM and 19% SAM were observed in a MUAC assessment in July – a significant deterioration since June. Very critical malnutrition rates persist in Bulo Burde, Hiraan.

Iraq: More than 74,440 people have been displaced from Saqlawiyah in Falluja district since 8 July, and tens of thousands reportedly remain trapped in Falluja and Ramadi districts. There are now more than 3.1 million IDPs across 3,613 locations in Iraq; 300,000 people have been displaced from and within Anbar since military operations began in April.

Iraq: Violence, looting and serious human rights violations were reported as Iraqi forces and affiliated groups recaptured Tikrit. There are numerous booby traps and tensions are reportedly rising between government forces and militias. Elsewhere, IDPs are returning: tens of thousands have gone home to Diyala, Ninewa and Al Alam in Salah al Din since February.

Libya: Concern is growing for the increasing number of people affected by crisis since mid-July, as violence persists, rival governments are failing to assure basic services, and most humanitarian organisations have withdrawn.

Yemen: The 9 August Al Jawf ceasefire has been broken. Access to people affected by the conflict in Al Jawf is extremely limited due to persistent insecurity, and it is very difficult to obtain information. Almost 3,000 people have died in violence since the National Dialogue Conference took place on 25 January.

Central African Republic: The CAR President Catherine Samba-Panza named a Muslim as the new Prime Minister. Renewed clashes have displaced 20,000 people in Batafango (Ouham) since July and 17,000 people in Bambari (Ouaka) since June. A total of 890 security incidents were recorded in 2014, hampering humanitarian access.

oPT: 178 Palestinians have been killed since the launch of Israel’s Operation Protective Edge on 8 July. Around 17,000 people have sought shelter in UNRWA schools. Rockets from Syria and Lebanon have hit the north of Israel, raising fears of the conflict spreading.

Democratic Republic of Congo: More than 30,000 people are estimated to have been displaced in North Kivu, South Kivu, and Katanga in June, due to FARDC military operations and fighting between armed groups.

CAR: The security situation in Bangui has reportedly deteriorated; 25 have been killed in renewed clashes. Violence has disrupted the April–May planting season, which will likely lead to below-average 2014–2015 harvests.

Syria: 241,000 people are estimated to be living under siege, 196,000 besieged by government forces, and 45,000 by opposition forces. Nearly 2,000 civilians are reported to have been killed in air strikes on Aleppo this year. Humanitarian access to both government and opposition controlled areas dropped significantly in May.

Syria: Fierce fighting between opposition groups has led to further displacement in Deir-ez-Zor while a truce between the Government and the opposition is expected to see the Old City of Homs handed over to the Government after its recent campaign to retake it.

In Syria, the opposition agreed to participate in international peace talks in Geneva under the condition that President al-Assad is excluded from any transitional government, which constitutes a major obstacle to the initiation of the process as the Government stated it will not enter discussion if this demand is upheld. The peace dialogue has been repeatedly postponed and will not go ahead as planned in November. To date, the overall number of Syrian refugees is over 2.2 million and the number of people in need in the country stands at 9.3 million.

In Syria, the opposition remains divided over their participation to proposed peace talks in Geneva, with a decision being expected by 9 November. In Damascus, the Government repeated that it will not enter discussions if President al-Assad is forced to resign. While the overall number of Syrian refugees went over 2.2 million, revised estimates indicated that the number of people in need in Syria has increased from 6.8 million in April to 9.3 million in late October. An estimated 6.5 million are internally displaced.

In Syria, fighting has intensified in October with the Government gaining control of strategic areas around Damascus and south of Aleppo. Meanwhile, while the number of Syrian refugees has reached almost 2.2 million people, parties to the conflict and international actors are increasingly focused on the Geneva II conference scheduled to take place in November after having been postponed several times.

In Syria, conflict is of high intensity in Rural Damascus, Dar’a, Aleppo, Idleb, and Homs, and Damascus city has repeatedly been under fire from opposition mortar rounds. Clashes between rival opposition groups have spread, culminating in a bloody battle over the control of some northern Aleppo neighbourhoods. While Government forces have made gains in Rural Damascus, the opposition has won ground in Dar’a, with both sides renewing efforts to gain a firm upper hand before the proposed Geneva II peace talks in November.